As of January 2022, you have the privilege to receive a personalized "Good Faith Estimate" outlining the potential charges associated with the psychotherapy services you may receive. While it's impossible to precisely predict the number of sessions required for each individual, this document offers an approximation of the service costs.

The total expense depends on various factors including the number of sessions attended, your unique circumstances, and the type and extent of services provided. Additionally, there may be supplementary items or services recommended for your care, which aren't included in this initial estimate and must be scheduled separately.

Please note, this estimate isn't a binding agreement and doesn't compel you to engage with the listed provider(s) nor does it encompass any undisclosed services provided. Moreover, unforeseen costs may arise during treatment due to complications or special circumstances, which aren't covered by this estimate. In such instances, you retain the right to dispute the charges under federal law.

If the actual charges significantly exceed the estimated amount by $400 or more, you have the right to initiate a dispute resolution process. This Good Faith Estimate isn't intended as a treatment recommendation nor a prediction of the exact number of psychotherapy sessions required. The determination of appropriate visits and associated costs is contingent upon your individual needs and mutual agreement reached in consultation with your therapist. You have the autonomy to dissent from any treatment recommendations and terminate treatment at any juncture.

For further clarification regarding your entitlement to a Good Faith Estimate or the dispute resolution process, please visit https://www.cms.gov/nosurprises/consumers or call 1-800-985-3059. Rest assured, engaging in the dispute resolution process won't compromise the quality of services provided to you.